PMID- 28835859 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 2090-6560 (Print) IS - 2090-6579 (Electronic) IS - 2090-6579 (Linking) VI - 2017 DP - 2017 TI - Bone Marrow-Liver-Spleen Type of Large B-Cell Lymphoma Associated with Hemophagocytic Syndrome: A Rare Aggressive Extranodal Lymphoma. PG - 8496978 LID - 10.1155/2017/8496978 [doi] LID - 8496978 AB - Recently, an unusual subtype of large B-cell lymphoma (LBCL) with distinctive clinicopathologic features has been recognized; it is characterized by involvement of bone marrow with or without liver and/or spleen, but no lymph node or other extranodal sites, usually associated with fever, anemia, and hemophagocytic lymphohistiocytosis (HLH). Because of this distinctive clinical presentation, it has been designated "bone marrow-liver-spleen" (BLS) type of LBCL. To date there is only one series of 11 cases of BLS type of LBCL with detailed clinical, pathologic, and cytogenetic data. Herein, we describe a case of BLS type LBCL presenting with associated HLH in a 73-year-old female. The bone marrow core biopsy showed cytologically atypical large lymphoma cells present in a scattered interstitial distribution and hemophagocytosis and infrequent large lymphoma cells were seen in the bone marrow aspirate smears. Circulating lymphoma cells were not seen in the peripheral blood smears. The patient underwent treatment with chemotherapy (R-CHOP) but unfortunately passed away 2 months after initial presentation. BLS type of LBCL is a very rare and clinically aggressive lymphoma whose identification may be delayed by clinicians and hematopathologists due to its unusual clinical presentation and pathologic features. FAU - Lyapichev, Kirill A AU - Lyapichev KA AUID- ORCID: 0000-0001-9983-9735 AD - Division of Hematopathology, Department of Pathology and Laboratory Medicine, University of Miami and Sylvester Comprehensive Cancer Center, Miami, FL, USA. FAU - Chapman, Jennifer R AU - Chapman JR AD - Division of Hematopathology, Department of Pathology and Laboratory Medicine, University of Miami and Sylvester Comprehensive Cancer Center, Miami, FL, USA. FAU - Iakymenko, Oleksii AU - Iakymenko O AD - Division of Hematopathology, Department of Pathology and Laboratory Medicine, University of Miami and Sylvester Comprehensive Cancer Center, Miami, FL, USA. FAU - Ikpatt, Offiong F AU - Ikpatt OF AD - Division of Hematopathology, Department of Pathology and Laboratory Medicine, University of Miami and Sylvester Comprehensive Cancer Center, Miami, FL, USA. FAU - Teomete, Uygar AU - Teomete U AD - Department of Radiology, University of Miami and Sylvester Comprehensive Cancer Center, Miami, FL, USA. FAU - Sanchez, Sandra Patricia AU - Sanchez SP AD - Division of Hematopathology, Department of Pathology and Laboratory Medicine, University of Miami and Sylvester Comprehensive Cancer Center, Miami, FL, USA. FAU - Vega, Francisco AU - Vega F AUID- ORCID: 0000-0001-5956-452X AD - Division of Hematopathology, Department of Pathology and Laboratory Medicine, University of Miami and Sylvester Comprehensive Cancer Center, Miami, FL, USA. AD - Division of Hematology-Oncology, Department of Medicine, University of Miami and Sylvester Comprehensive Cancer Center, Miami, FL, USA. LA - eng PT - Case Reports DEP - 20170801 PL - United States TA - Case Rep Hematol JT - Case reports in hematology JID - 101576456 PMC - PMC5556984 EDAT- 2017/08/25 06:00 MHDA- 2017/08/25 06:01 PMCR- 2017/08/01 CRDT- 2017/08/25 06:00 PHST- 2017/04/10 00:00 [received] PHST- 2017/06/28 00:00 [accepted] PHST- 2017/08/25 06:00 [entrez] PHST- 2017/08/25 06:00 [pubmed] PHST- 2017/08/25 06:01 [medline] PHST- 2017/08/01 00:00 [pmc-release] AID - 10.1155/2017/8496978 [doi] PST - ppublish SO - Case Rep Hematol. 2017;2017:8496978. doi: 10.1155/2017/8496978. Epub 2017 Aug 1.